CA2335941A1 - Treatment of hyperproliferative disorders - Google Patents

Treatment of hyperproliferative disorders Download PDF

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Publication number
CA2335941A1
CA2335941A1 CA002335941A CA2335941A CA2335941A1 CA 2335941 A1 CA2335941 A1 CA 2335941A1 CA 002335941 A CA002335941 A CA 002335941A CA 2335941 A CA2335941 A CA 2335941A CA 2335941 A1 CA2335941 A1 CA 2335941A1
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Prior art keywords
pharmaceutically acceptable
acceptable salt
ceramide
inhibitor
subject
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Granted
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CA002335941A
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French (fr)
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CA2335941C (en
Inventor
Barry James Maurer
C. Patrick Reynolds
Myles Cabot
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Childrens Hospital Los Angeles
John Wayne Cancer Institute
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Individual
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Expired - Lifetime legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/07Retinol compounds, e.g. vitamin A
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/165Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10STECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S424/00Drug, bio-affecting and body treating compositions
    • Y10S424/15Suppositories

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Molecular Biology (AREA)
  • Organic Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Steroid Compounds (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of: (a) a ceramide-generating retinoid such as fenretinide or a pharmaceutically acceptable salt thereof; and (b) at least one (and in certain embodiments at least two) ceramide degredation inhibitor , such as compounds selected from the group consisting of (i) glucosylceramide synthesis inhibitors, (ii) sphingosine-1-phosphate synthesis inhibitors, and (iii) protein kinase C inhibitors. A preferred glucosyl ceramide synthesis inhibitor is 1-phenyl-2-palmitoylamino-3-morpholino-1-propanol. A preferred sphingosine-1-phosphate synthesis inhibitor is D-erytho-N,N- dimethylsphingosine. A preferred protein kinase C inhibitor is L-threo- dihydrosphingosine.

Claims (33)

1. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a ceramide-generating retinoid or a pharmaceutically acceptable salt thereof; and (b) a ceramide degradation inhibitor or a pharmaceutically acceptable salt thereof.
2. A method according to claim 1, wherein said ceramide degradation inhibitor is selected from the group consisting of glucosyl ceramide synthase inhibitors, sphingosine-1-phosphate synthesis inhibitors, protein kinase C
inhibitors, and the pharmaceutically acceptable salts thereof.
3. A method according to claim 1, wherein said hyperproliferative disorder is selected from the group consisting of malignant, pre-malignant, and non-malignant hyperproliferative disorders.
4. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a ceramide-generating retinoid or a pharmaceutically acceptable salt thereof; and (b) a glucosylceramide synthesis inhibitor or a pharmaceutically acceptable salt thereof.
5. A method according to claim 4, wherein said ceramide-generating retinoid is fenretinide or a pharmaceutically acceptable salt thereof.
6. A method according to claim 4, wherein said glucosylceramide synthesis inhibitor is a glucosylceramide synthase inhibitor or a pharmaceutically acceptable salt thereof.
7. A method according to claim 4, wherein said glucosyl ceramide synthesis inhibitor is 1-phenyl-2-palmitoylamino-3-morpholino-1-propanol or a pharmaceutically acceptable salt thereof.
8. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a ceramide generating retinoid or a pharmaceutically acceptable salt thereof; and (b) a sphingosine-1-phosphate synthesis inhibitor or a pharmaceutically acceptable salt thereof.
9. A method according to claim 8, wherein said ceramide-generating retinoid is fenretinide or a pharmaceutically acceptable salt thereof.
10. A method according to claim 8, wherein said sphingosine-1-phosphate synthesis inhibitor is a sphingosine kinase inhibitor or a pharmaceutically acceptable salt thereof.
11. A method according to claim 8, wherein said sphingosine-1-phosphate synthesis inhibitor is D-erythro-N,N-dimethylsphingosine or a pharmaceutically acceptable salt thereof.
12. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a cermide-generating retinoid or a pharmaceutically acceptable salt thereof;
and (b) a protein kinase C inhibitor or a pharmaceutically acceptable salt thereof.
13. A method according to claim 12, wherein said ceramide-generating retinoid is fenretinide or a pharmaceutically acceptable salt thereof.
14. A method according to claim 12, wherein said protein kinase C inhibitor is L-threo-dihydrosphingosine or a pharmaceutically acceptable salt thereof.
15. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a ceramide-generating retinoid or a pharmaceutically acceptable salt thereof; and (b) at least two compounds selected from the group consisting of (i) glucosylceramide synthesis inhibitors and the pharmaceutically acceptable salts thereof, (ii) sphingosine-1-phosphate synthesis inhibitors and the pharmaceutically acceptable salts thereof, and (iii) protein kinase C inhibitors and the pharmaceutically acceptable salts thereof.
16. A method according to claim 15, wherein said ceramide generating retinoid is fenretinide or a pharmaceutically acceptable salt thereof.
17. A method according to claim 15, wherein said at least two compounds comprise (i) a glucosylceramide synthesis inhibitor or a pharmaceutically acceptable salt thereof and (ii) either a sphingosine-1-phosphate synthesis inhibitor, a protein kinase C inhibitor, or a pharmaceutically acceptable salt thereof.
18. A method according to claim 15, wherein said at least two compounds comprise a glucosylceramide synthesis inhibitor or a pharmaceutically acceptable salt thereof, and a sphingosine-1-phosphate synthesis inhibitor or a pharmaceutically acceptable salt thereof.
19. A method according to claim 15, wherein said at least two compounds comprise a glucosylceramide synthesis inhibitor or a pharmaceutically acceptable salt thereof, and a protein kinase C inhibitor or a pharmaceutically acceptable salt thereof.
20. A method according to claim 15, wherein said at least two compounds comprise a sphingosine-1-phosphate synthesis inhibitor or a pharmaceutically acceptable salt thereof, and a protein kinase C inhibitor or a pharmaceutically acceptable salt thereof.
21. A method according to claim 15, wherein said at least two compounds comprise a glucosylceramide synthesis inhibitor or a pharmaceutically acceptable salt thereof, a sphingosine-1-phosphate synthesis inhibitor or a pharmaceutically acceptable salt thereof, and a protein kinase C inhibitor or a pharmaceutically acceptable salt thereof.
22. A method of screening for compounds that increase the cytostatic or cytotoxic activity of a ceramide-generating retinoid in hyperproliferative cells, said method comprising:
(a) contacting first control hyperproliferative cells with an amount of ceramide-generating retinoid;
(b) contacting second control hyperproliferative cells with an amount of a test compound; and (c) contacting experimental hyperproliferative cells with both said amount of ceramide generating retinoid in step (a) above and said amount of a test compound in step (b) above; and (d) determining the growth inhibition of said hyperproliferative cells of steps (a), (b) and (c) above; and then (e) comparing the growth inhibition in the experimental hyperproliferative cells of step (c) with the growth inhibition of the control hyperproliferative cells of steps (a) and (b), a greater degree of growth inhibition determined in the experimental hyperproliferative cells of step (c) than the combined growth inhibition of the control hyperproliferative cells of steps (b) and (c) indicating that the test compound enhances the activity of the ceramide-generating retinoid.
23. A method according to claim 22, wherein said comparing step is carried out calculating a Combination Index.
24. A method according to claim 22, wherein said hyperproliferative cells are tumor cells.
25. A method according to claim 23, wherein said tumor cells are selected from the group consisting of neuroblastoma, lung, melanoma, prostate, colon, breast.
leukemia and pancreas tumor cells.
26. A method according to claim 22, wherein said ceramide-generating retinoid is fenretinide or a pharmaceutically acceptable salt thereof.
27. A method according to claim 22, wherein said test compound is a ceramide-degradation inhibitor or a pharmaceutically acceptable salt thereof.
28. A method according to claim 22, wherein said step of determining growth inhibition is carried out by determining necrosis, apoptosis, or both.
29. A compound that increases the cytostatic or cytotoxic activity of a ceramide-generating retinoid in hyperproliferative cells produced by the method of claim 22, or a pharmaceutically acceptable salt thereof.
30. A pharmaceutical formulation comprising, in a pharmaceutically acceptable carrier, a treatment effective amount of a compound that increases the cytostatic or cytotoxic activity of a ceramide-generating retinoid in hyperproliferative cells produced by the method of claim 22, or a pharmaceutically acceptable salt thereof.
31. A pharmaceutical formulation according to claim 31, further comprising a treatment effective amount of a ceramide generating retinoid or a pharmaceutically acceptable salt thereof.
32. A method of treating a hyperproliferative disorder in a subject in need of such treatment, comprising administering to said subject, in combination, a treatment effective amount of:
(a) a ceramide-generating retinoid or a pharmaceutically acceptable salt thereof; and (b) a compound that increases the cytostatic or cytotoxic activity of a ceramide-generating retinoid in hyperproliferative cells produced by the method of claim 22, or a pharmaceutically acceptable salt thereof.
33. A method according to claim 32, wherein said hyperproliferative disorder is selected from the group consisting of malignant, pre-malignant, and non-malignant hyperproliferative disorders.
CA2335941A 1998-06-29 1999-06-28 Treatment of hyperproliferative disorders Expired - Lifetime CA2335941C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US9113898P 1998-06-29 1998-06-29
US60/091,138 1998-06-29
PCT/US1999/014591 WO2000000207A1 (en) 1998-06-29 1999-06-28 Treatment of hyperproliferative disorders

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CA2335941A1 true CA2335941A1 (en) 2000-01-06
CA2335941C CA2335941C (en) 2011-03-22

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US (1) US6352844B1 (en)
EP (1) EP1091745B1 (en)
JP (1) JP4965764B2 (en)
CN (1) CN100358529C (en)
AT (1) ATE409486T1 (en)
AU (1) AU4724599A (en)
BR (1) BR9912501A (en)
CA (1) CA2335941C (en)
DE (1) DE69939651D1 (en)
DK (1) DK1091745T3 (en)
ES (1) ES2316188T3 (en)
WO (1) WO2000000207A1 (en)

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Also Published As

Publication number Publication date
EP1091745A1 (en) 2001-04-18
WO2000000207A9 (en) 2000-05-18
CA2335941C (en) 2011-03-22
AU4724599A (en) 2000-01-17
JP4965764B2 (en) 2012-07-04
EP1091745A4 (en) 2003-08-27
WO2000000207A1 (en) 2000-01-06
DK1091745T3 (en) 2008-12-15
CN100358529C (en) 2008-01-02
DE69939651D1 (en) 2008-11-13
CN1308538A (en) 2001-08-15
ES2316188T3 (en) 2009-04-01
BR9912501A (en) 2001-05-02
JP2002519329A (en) 2002-07-02
EP1091745B1 (en) 2008-10-01
ATE409486T1 (en) 2008-10-15
US6352844B1 (en) 2002-03-05

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